Laserfiche WebLink
' r <br /> SITE INSPECTION CHECKLIST <br /> e <br /> Client SW»IL- Date r O-0 S" <br /> Site Address j aol I 1V. 44 AIA1 9T. ,,. MoWjkA <br /> Job Numbet OC42-_10 -`tw• S�- Technician <br /> Site Status Branded Station Vacant Lot Other <br /> e 1 t r <br /> lnspected 1 Labeled I Cleaned -All Wells on Scope Of Work <br /> Inspected 1 Cleaned Components -All Other Identifiable Wells .N/A <br /> Inspected Site for Investigation Related Trip Hazards <br /> a , , <br /> Addressed All Outstanding Wellhead Repair Orders) NIA <br /> Completed Repair Data Sheets(s)_ _ NIA <br /> r m <br /> Inspected Treatment I Remediation System Compound For Security, NIq <br /> Cleanliness and Appearance <br /> Inspected Vacant Lot for Signs of Habitation, Hazardous Materials or NIA <br /> Terrain,-Overgrown-Vegetation-and-Security <br /> PLEASE BE ADVISED THAT,UNLESS OTHERWISE INSTRUCTED,NO REPAIRS ARE PLANNED FOR THE ISSUES DESCRIBED BELOW <br /> Outstanding Problems 1 Comments (in addition to other issues,note all SOW welfboxes that by design are not securable) <br /> 01V otL CH1104f fQt�tl`AUT ERW O 5 tAftcAl. <br /> o �IWL WT' 0160 TA S em l�.oKfJo f(lN a SY' '�N <br /> I.AW PgAtSTAk W1 no Tt,ES .6 6kUr,%t-ANVuS T1sctd op vtm l.ip NorCOW. <br /> - <br /> b <br /> r <br /> PROJECT COORDINATOR ONLY <br /> Checklist Reviewed 11l3. Notes <br /> I Date <br /> BLAINE <br /> BLAINE rECH SERVICES INC SAH JOSE SACRAMENTO LOS ANGELES SAN DIEGO _wwwJMametech com <br />